Unicare Community Health Center, Inc. | |
570 S Mount Vernon Ave Suite G San Bernardino CA 92410-2760 | |
(909) 884-6700 | |
(909) 884-6705 |
Full Name | Unicare Community Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 570 S Mount Vernon Ave, San Bernardino, California |
Authorized Official Name and Position | Avetik Machkalyan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9098846700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unicare Community Health Center, Inc. 437 N Euclid Ave Ontario CA 91762-3456 Ph: (909) 988-2555 | Unicare Community Health Center, Inc. 570 S Mount Vernon Ave Suite G San Bernardino CA 92410-2760 Ph: (909) 884-6700 |
NPI Number | 1265854061 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 03/13/2024 |
Medicare PECOS PAC ID | 8426369067 |
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Medicare Enrollment ID | O20150623001589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265854061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Pankaj K Karan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437187994 PECOS PAC ID: 8729992441 Enrollment ID: I20031120000764 |
Provider Name | William C Paley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124105754 PECOS PAC ID: 9638061435 Enrollment ID: I20040326000661 |
Provider Name | Cuong Robert T Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437141660 PECOS PAC ID: 3375505530 Enrollment ID: I20041029000800 |
Provider Name | Sophia Beyene |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861454993 PECOS PAC ID: 9931147030 Enrollment ID: I20050419001500 |
Provider Name | Gloria E Morrow |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811012636 PECOS PAC ID: 1456388693 Enrollment ID: I20050720000249 |
Provider Name | Melanie F Dawes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861488249 PECOS PAC ID: 4789616715 Enrollment ID: I20050909000796 |
Provider Name | Renato G Rada |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699717306 PECOS PAC ID: 5294732400 Enrollment ID: I20061101000239 |
Provider Name | Samuel K Chung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992897458 PECOS PAC ID: 7315946316 Enrollment ID: I20061219000616 |
Provider Name | Tapeesh Kansal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841291408 PECOS PAC ID: 7113816455 Enrollment ID: I20090130000534 |
Provider Name | Armen Y Nercessian |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1679534374 PECOS PAC ID: 9032125034 Enrollment ID: I20120404000578 |
Provider Name | Saagar K Raju |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033485990 PECOS PAC ID: 9436302916 Enrollment ID: I20130111000337 |
Provider Name | Naruchon Engkatanakorn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073749792 PECOS PAC ID: 3274686456 Enrollment ID: I20130513000286 |
Provider Name | Anita Hadpawat-lee |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447411590 PECOS PAC ID: 1658448543 Enrollment ID: I20140929001109 |
Provider Name | Sheimeka D Vaughan Magee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912293556 PECOS PAC ID: 1254653066 Enrollment ID: I20141205001842 |
Provider Name | Alla Sragets |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013956978 PECOS PAC ID: 9234448937 Enrollment ID: I20151020002430 |
Provider Name | Mark Folmsbee |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1427393123 PECOS PAC ID: 6800184557 Enrollment ID: I20161012000646 |
Provider Name | Hang T Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851704605 PECOS PAC ID: 4082902770 Enrollment ID: I20161012002325 |
Provider Name | David M Brandt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952845364 PECOS PAC ID: 8123309416 Enrollment ID: I20161228001176 |
Provider Name | Sanjiwani Meharda |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1104108109 PECOS PAC ID: 5193955268 Enrollment ID: I20170612000460 |
Provider Name | Ly P Lam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144574732 PECOS PAC ID: 6507093549 Enrollment ID: I20170705003363 |
Provider Name | Jennifer E Villalba |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225178353 PECOS PAC ID: 4880971530 Enrollment ID: I20170905003468 |
Provider Name | Brijesh N Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760920797 PECOS PAC ID: 0143596460 Enrollment ID: I20171031002711 |
Provider Name | Toni Marie Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528456050 PECOS PAC ID: 9830455419 Enrollment ID: I20171115000537 |
Provider Name | Sabrina M Barrios |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235509068 PECOS PAC ID: 5799041372 Enrollment ID: I20171115000795 |
Provider Name | Dimas Giovanni Calvachi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386143881 PECOS PAC ID: 3375804305 Enrollment ID: I20180307001660 |
Provider Name | Rica M Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861918104 PECOS PAC ID: 6305100322 Enrollment ID: I20180427001640 |
Provider Name | Patricia Wangsadipura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972968188 PECOS PAC ID: 9133474315 Enrollment ID: I20180622000865 |
Provider Name | Keith A Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790978617 PECOS PAC ID: 9830445725 Enrollment ID: I20180706002298 |
Provider Name | Liliana P Prakasam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053493734 PECOS PAC ID: 1759695166 Enrollment ID: I20181207000244 |
Provider Name | Jisha C Pangottil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871073411 PECOS PAC ID: 1557605060 Enrollment ID: I20181210001764 |
Provider Name | Sunday Adeyeye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649754292 PECOS PAC ID: 3678819034 Enrollment ID: I20190107002498 |
Provider Name | Khatereh A Assadi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427327766 PECOS PAC ID: 3971763509 Enrollment ID: I20190111001785 |
Provider Name | Hsin-ying Lin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568842706 PECOS PAC ID: 2466769211 Enrollment ID: I20190501002337 |
Provider Name | Naila Mubashar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376906719 PECOS PAC ID: 5294060828 Enrollment ID: I20190718000554 |
Provider Name | Elaine Sze Ho |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336665587 PECOS PAC ID: 4284960527 Enrollment ID: I20190724004075 |
Provider Name | Javier Eduardo Garcia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518357821 PECOS PAC ID: 5496087439 Enrollment ID: I20191024001853 |
Provider Name | Romulo Atienza Lucasan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396391470 PECOS PAC ID: 3476985029 Enrollment ID: I20191119003326 |
Provider Name | Molly Duong |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023508363 PECOS PAC ID: 3072945450 Enrollment ID: I20191125000767 |
Provider Name | Huynh Ngoc Tu Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750932141 PECOS PAC ID: 3971936204 Enrollment ID: I20191127001279 |
Provider Name | Reina Anne Briganti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871543397 PECOS PAC ID: 1658700331 Enrollment ID: I20200331003453 |
Provider Name | Jessy Marion Padiernos Tsang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871022673 PECOS PAC ID: 2668899287 Enrollment ID: I20200827002879 |
Provider Name | Sarkis Ohannes Markarian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841725462 PECOS PAC ID: 4486981032 Enrollment ID: I20200828001760 |
Provider Name | Gryan Eroll R Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578103800 PECOS PAC ID: 7911334396 Enrollment ID: I20201130002329 |
Provider Name | Fely Embrado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902417124 PECOS PAC ID: 6002220605 Enrollment ID: I20210121002466 |
Provider Name | Imelda Gutierrez-hunt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407985948 PECOS PAC ID: 1759610454 Enrollment ID: I20210303003484 |
Provider Name | Maritza Bojorquez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942783014 PECOS PAC ID: 3173939634 Enrollment ID: I20210308001259 |
Provider Name | Meiji Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932718574 PECOS PAC ID: 6305255290 Enrollment ID: I20210505001639 |
Provider Name | Saghar Saber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023405099 PECOS PAC ID: 8921309733 Enrollment ID: I20210520001058 |
Provider Name | Marialuisa Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104371681 PECOS PAC ID: 2860892791 Enrollment ID: I20210615002252 |
Provider Name | Diana Hernandez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376176487 PECOS PAC ID: 4981004751 Enrollment ID: I20210616000328 |
Provider Name | Vinita R Kothari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417428731 PECOS PAC ID: 2567862212 Enrollment ID: I20210616003493 |
Provider Name | Cathleen Womble Manusia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568554194 PECOS PAC ID: 0840691002 Enrollment ID: I20210624002788 |
Provider Name | Sally A Villanueva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427713569 PECOS PAC ID: 5294126983 Enrollment ID: I20220107001220 |
Provider Name | Sarah G Caro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427791052 PECOS PAC ID: 9931596533 Enrollment ID: I20220429000744 |
Provider Name | Roquell Laney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518450675 PECOS PAC ID: 7618353673 Enrollment ID: I20220929000590 |
Provider Name | Guillermo Galvez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043823305 PECOS PAC ID: 7214357300 Enrollment ID: I20221201001810 |
Provider Name | Zinata Dienge Sango |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497464507 PECOS PAC ID: 9335510841 Enrollment ID: I20230120000427 |
Provider Name | Angelica Alonso |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174019210 PECOS PAC ID: 9638418635 Enrollment ID: I20230202000887 |
Provider Name | Pei Shan Tan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932837168 PECOS PAC ID: 5496127334 Enrollment ID: I20230202001275 |
Provider Name | Bryan Rocha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508572710 PECOS PAC ID: 5991179467 Enrollment ID: I20230323002219 |
Provider Name | Brittany Arlene Camille |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346940947 PECOS PAC ID: 6305205915 Enrollment ID: I20230629002566 |
Provider Name | Megan Michelle Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437840352 PECOS PAC ID: 4385005552 Enrollment ID: I20230803003236 |
Provider Name | Bernadette Bohol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649997800 PECOS PAC ID: 5496116683 Enrollment ID: I20230803004081 |
Provider Name | Jonathan Villicana |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891430245 PECOS PAC ID: 3375905631 Enrollment ID: I20230817003303 |
Provider Name | Vance L Fletcher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336210061 PECOS PAC ID: 1355304783 Enrollment ID: I20230829001741 |
Provider Name | Natalie Anh Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336848316 PECOS PAC ID: 1052774767 Enrollment ID: I20230829001862 |
Provider Name | Sally Amaya |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013270719 PECOS PAC ID: 1456705292 Enrollment ID: I20230927001547 |
Provider Name | Crystal Joyce Martirez Camagong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396523981 PECOS PAC ID: 2365894441 Enrollment ID: I20240115001616 |
Provider Name | Imelda Medina Jimenez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477753721 PECOS PAC ID: 6709239775 Enrollment ID: I20240125002504 |
Provider Name | Nohora Aydee Agudelo Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609448257 PECOS PAC ID: 4688011349 Enrollment ID: I20240318002609 |
Provider Name | Irene Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700649985 PECOS PAC ID: 7214377829 Enrollment ID: I20240430002225 |
Provider Name | Barry Seth Goldstein |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639730872 PECOS PAC ID: 9739520776 Enrollment ID: I20240508003058 |
Provider Name | Reema Vithlani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881172054 PECOS PAC ID: 2264874577 Enrollment ID: I20240531000404 |
Shuang Bai, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 502, San Bernardino, CA 92404 Phone: 909-883-3838 Fax: 909-792-5531 | |
Melody Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1873 Commerce Center West, San Bernardino, CA 92408 Phone: 909-890-5511 Fax: 909-890-4599 | |
Sac Norton Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 E 2nd St, San Bernardino, CA 92408 Phone: 909-382-7100 Fax: 909-382-7136 | |
Sac Arrowhead Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1293 N D St, San Bernardino, CA 92405 Phone: 909-382-7100 Fax: 909-382-7101 | |
Dewar Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 124, San Bernardino, CA 92404 Phone: 909-886-6576 Fax: 909-882-1299 | |
Pliev Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Arrowhead Ave, San Bernardino, CA 92401 Phone: 909-424-0065 | |
Healthy Preferred Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 S Arrowhead Ave, Ste D, San Bernardino, CA 92408 Phone: 909-553-6143 |